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General NPI Number Information
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NPI Number | 1821704297
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Entity Type | Individual
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Provider Name | MARIA TERESA PEREZ LMT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 10875 SW 112TH AVE APT 307
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City | MIAMI
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State | FL
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Zip | 33176-3226
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Country | US
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Telephone | 305-710-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 10875 SW 112TH AVE APT 307
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City | MIAMI
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State | FL
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Zip | 33176-3226
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Country | US
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Telephone | 305-710-8022
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | MA77805
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | MA77805
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License Number State | FL
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